Meter Swap �
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Request Number: 14952
Public Works Division
Service Request
; _____._ _ ___________.____________._.�______ . ----__._. ._._-------
Problem Address: 6150 Kerry Ln Requested By: Charles Burnside
Department: WATER Address: No address provided
Problem/Lssue: INSTALL AMR ME1ER Phone Number: 571-0621
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Sched ed Date• 2017-04-2 Scheduled 13me: 10:30:00
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.AeGTION NEEDED: _ ` "
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Created by: Wendy Hiatt Date Created: 201?-04-25
ACTION TAI�N: �
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Status: In Progress Snbmitter Has Been r.
Co�acted
Date Completed: � 1 �.�� — j� Completed by: ��pG�
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C�ty of Fr�dley
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Water Departrnent
6431 University Avenue NE
Fridfey,MN 55432
763-572-3566
UWe hereby authorize the City of Fridley and/or tts employees M do what is necessary to
reQlace the water meter. 1 understand that the property owner is liabie for the water line from the main to the premise and all irrterior
plumbing. (Per City code 402.06) i also hold the City of Fridley and/its employees harmless for any damages that may oaur wfii{e doing this
operation. This to include,but not limited to valves,piping,walls,floors or the curb stop box and service line. In understand 1 am also required
to obtain a permit prior to arry work,if necessary.
FINAL METER READING(old meter) �✓— � �v
Name• l.�'"� �S �` U`'����� Address ��O �G 1 �-1' v1 l -
Phone Number ��� � ��'�'� Date �� '^'� � � !
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Signature Witneu Signature
OLD METER# � l� 1 �C7lJ� �—
OLD READING P" v"��i��
NEW METER# '�`��o �3�89
NEW READING � -
ERT# �a-�.� �3 0�- r
FRIDLEY CITY CODE
CHAPTER 402.WATER,STORM WATER AND SANRARY SEWER
ADMINISTRATION
(Ref Ord No 113,464,565,566,629,638,662,922,988,1144,1156,1191)
402.5 PERMIT FEE
Prior to constructing or repair of any water of sewer line connecting the existi�g municipal system and any house o�buildtng for which the
application is made,the owner or contrector shall be required to obtaPn a permtt for such connection,and shall pay a permn fee as provided to
Chapter 11 of this Code. After sucfi connection has been made,the Water and Sewer Department shall be notified. It shall be unlawful to co�rer
any connecting line until an inspection has been made and wch co�nection and the work incident thereto has been approved by tfie City as a
proper and suitable connection.
402.06 REPAIRS AND MAINTENANCE TO CONNECTION
After the initial connection has been made to the water service curb stop box or the sewer lead at the property line or a water service kad has
been eutended to the property line for connection,the applicarrt,owner,or occupant or user of such premises shall be liable for ali repairs
required to any water line and sewer lines necessary for connection of the premises from the main to the premises. tf the property�rner
requests mairrtenance service or repairs be performed by the City,the proqerty owner shait be charged for the costs vf the mairrtenance and/or
repairs,including necessary street repairs at a rate set annually by an administrative poliry. It shall be the responsibility of the appliearit,
owner,occupant or user to perForm standard mainte�ance of the sewer service line from the premises to the main including debris clearing or
root cutting and to mairrtain the water service curb stop box for operability and at wch height as will ensure that it remains above the flnished
grade of the land or property. (Ref 638,1156,1191)